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Chlamydia trachomatis
In Nederland is chlamydia de meest voorkomende bacteriële soa.
Chlamydia wordt veroorzaakt door de bacterie Chlamydia trachomatis en kan ontstekingen aan de urinebuis, endeldarm, bijballen, baarmoederhals en eileiders veroorzaken en bij vrouwen uiteindelijk onvruchtbaarheid veroorzaken. Chlamydia kan, behalve door onbeschermd seksueel contact ook bij de geboorte worden overgedragen van moeder op kind (perinatale chlamydia).
Hoe vaak komt het voor?
In 2017 is bij 21.404 bezoekers van de Centra Seksuele Gezondheid de diagnose chlamydia gesteld. Het percentage positieve testen voor chlamydia nam de laatste jaren toe bij heteroseksuele mannen en vrouwen, maar bleef stabiel in 2017 (18,0 procent bij heteroseksuele mannen en 15,3 procent bij vrouwen) Bij mannen die seks hebben met mannen (MSM) is het percentage positieve testen al jaren stabiel rond de 10 procent (zie figuur 1). Naar schatting zijn er 36.600 chlamydia diagnoses gesteld door huisartsen in 2016.
Figuur 1: Aantal testen en percentage positieve testen voor chlamydia over de periode 2008-2017 (Bron: Centra Seksuele Gezondheid)
In dit onderwerp
Chlamydia trachomatis(tabblad actief)Documenten en publicaties
Richtlijnen(item niet uitgeklapt)
Brochures(item niet uitgeklapt)
Uitgaven(item niet uitgeklapt)
Nieuwsberichten(item niet uitgeklapt)
- Aantal SOA-testen blijft stijgen
- Meer mensen bezoeken SOA-poliklinieken met chlamydia en gonorroe infecties
- Nationaal soa/hiv plan 2012-2016
- Update thermometer seksuele gezondheid
Stappenplannen(item niet uitgeklapt)
Rapporten(item niet uitgeklapt)
- Chlamydia Screening Implementation Netherlands : impact evaluation and cost effectiveness
- Pilotstudie naar de mogelijkheden van kwaliteitscontrole voor de PCR voor het aantonen van Chlamydia trachomatis voor diagnostiek en surveillance
- Process evaluation of the Chlamydia Screening Implementation in the Netherlands: phase 1. Challenges and opportunities during preparation and first operational phase
- Sexually transmitted infections, including HIV, in the Netherlands in 2010
- Sexually transmitted infections, including HIV, in the Netherlands in 2011
- Sexually transmitted infections, including HIV, in the Netherlands in 2012
- Sexually transmitted infections, including HIV, in the Netherlands in 2013
Wetenschappelijke artikelen(item niet uitgeklapt)
- A population based dynamic approach for estimating the cost effectiveness of screening for Chlamydia trachomatis
- Acceptability of the internet-based chlamydia screening implementation in the Netherlands and insights into nonresponse
- An enzyme immunoassay to detect antibodies to protein and lipopolysaccharide antigens of Chlamydia trachomatis.
- An ongoing outbreak of lymphogranuloma venereum in the Netherlands, 2006-2007
- Anal lymphogranuloma venereum infection screening with IgA anti-chlamydia trachomatis-specific major outer membrane protein serology
- Analysis of genetic heterogeneity in Chlamydia trachomatis clinical isolates of serovars D, E, and F by amplified fragment length polymorphism
- Analysis of genetic heterogeneity in Chlamydia trachomatis serovars D, E and F by DNA fingerprinting.
- Antistoffen tegen Chlamydia trachomatis als marker voor infectie in het verleden.
- Application of a recombinant Omp1 of Chlamydia trachomatis serovar D in an enzyme immunoassay for determination of antibodies to Chlamydia trachomatis.
- Azithromycine; eenmalige orale behandeling van Chlamydia trachomatis urethritis and cervicitis.
- Chlamydia infection, pelvic inflammatory disease, ectopic pregnancy and infertility: cross-national study
- Chlamydia keratoconjunctivitis. Determination of Chlamydia trachomatis specific secretory immunoglobulin A in tears by enzyme immunoassay.
- Chlamydia trachomatis antibody testing in vaginal mucosal material versus blood Samples of women attending a fertility clinic and an STI clinic
- Chlamydia trachomatis conjunctivitis: een minder bekende uitingsvorm van een sexueel overdraagbare aandoening.
- Chlamydia trachomatis genotypes: correlation with clinical manifestations of infection and patients' characteristics.
- Chlamydia trachomatis IgG seroprevalence in the general population of the Netherlands in 1996 and in 2007: Differential changes by gender and age
- Chlamydia trachomatis test-of-cure cannot be based on a single highly sensitive laboratory test taken at least 3 weeks after treatment
- Cloning and expression on the Omp1 gene of Chlamydia trachomatis serovar D using a baculovirus expression system.
- Comparative model-based analysis of screening programs for Chlamydia trachomatis infections
- Comparison between the LCx Probe system and the COBAS AMPLICOR system for detection of Chlamydia trachomatis and Neisseria gonorrhoeae infections in patients attending a clinic for treatment of sexually transmitted diseases in Amsterdam, The Netherlands
- Comparison of two panels of monoclonal antibodies for determination of Chlamydia trachomatis serovars.
- Control measures used during lymphogranuloma venereum outbreak, Europe
- Cost-effectiveness of partner pharmacotherapy in screening women for asymptomatic infection with Chlamydia trachomatis
- Cost-effectiveness of screening asymptomatic women for Chlamydia trachomatis: the importance of reinfection and partner referral
- Cost-effectiveness of screening for genital Chlamydia trachomatis
- Cost-effectiveness of screening programs for Chlamydia trachomatis: a population-based dynamic approach
- Cost-effectiveness of widespread screening for Chlamydia trachomatis
- De waarde van sneldiagnostiek van seksueel overdraagbare aandoeningen, in het bijzonder van gonorroe, Chlamydia trachomatis-infecties en herpes genitalis.
- Design of the FemCure study: prospective multicentre study on the transmission of genital and extra-genital Chlamydia trachomatis infections in women receiving routine care
- Detection of amplified Chlamydia trachomatis DNA using a microtiter plate-based enzyme immunoassay.
- Detection of anorectal and cervicovaginal chlamydia trachomatis infections following azithromycin treatment: Prospective cohort study with multiple time-sequential measures of rRNA, DNA, quantitative load and symptoms
- Development and clinical evaluation of a polymerase chain reaction test for detection of Chlamydia trachomatis.
- Development and evaluation of screening strategies for Chlamydia trachomatis infections in an STD clinic.
- Diagnosis of Chlamydia trachomatis conjunctivitis by polymerase chain reaction and detection of secretory immunoglobulin A.
- Diagnostic and clinical implications of anorectal lymphogranuloma venereum in men who have sex with men: a retrospective case-control study
- Differences in the sensitivity of the Amplicor Chlamydia trachomatis PCR assay.
- Different clinical manifestations of chlamydia trachomatis infections related to serovars.
- Different epidemiological correlates for infections with chlamydia trachomatis and neisseria gonorrhoeae.
- Economic evaluation of screening programs for Chlamydia trachomatis: population based dynamics modeling leads to substantially different results than static decision analysis
- Effecten van preventiestrategieen voor gonorroe en infecties met Chlamydia trachomatis.
- Effects of population based screening for Chlamydia infections in The Netherlands limited by declining participation rates
- Efficacy of single-dose azithromycin versus doxycycline in the treatment of cervical infections caused by Chlamydia trachomatis.
- Enzyme immunoassay with enhanced specificity for detection of antibodies to Chlamydia trachomatis.
- Epidemiologie van infecties met Chlamydia trachomatis. Epidemiologie van SOA: deel 1.
- Evaluation design of a systematic, selective, internet-based, Chlamydia screening implementation in the Netherlands, 2008-2010 implications of first results for the analysis
- Evaluation of a novel Chlamydia trachomatis microsphere suspension assay for detection and genotyping of the different serovars in clinical samples
- Evaluation of high-resolution typing methods for Chlamydia trachomatis in samples from heterosexual couples
- Evaluation prompting transition from enhanced to routine surveillance of lymphogranuloma venereum (LGV) in the Netherlands.
- Evolution and connectivity in the world-wide migration system of the mallard: inferences from mitochondrial DNA
- Further characterization of a recombinant Omp1 of Chlamydia trachomatis serovar D expressed in insect cells using a baculovirus expression system.
- Genotyping of Chlamydia trachomatis serovars derived from heterosexual partners and a detailed genomic analysis of serovar F.
- Genotyping of genital Chlamydia trachomatis isolates reveal variants of serovar Ba, D, F, G, and J as determined by Omp1 sequencing and genomc fingerprinting [Abstract].
- Het voorkomen van Chlamydia trachomatis. Serie soa in Nederland, deel 4
- High yield of reinfections by home-based automatic rescreening of chlamydia positives in a large-scale register-based screening programme and determinants of repeat infections
- High-resolution typing reveals distinct chlamydia trachomatis strains in an at-risk population in Nanjing, China
- Improved PCR sensitivity for direct genotyping of Chlamydia trachomatis serovars by using a nested PCR.
- In vitro activity of the two new 4-quinolones A56619 and A56620 against Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma hominis, Ureaplasma urealyticum and Garnerella vaginalis.
- Incidence and persistence of carcinogenic genital human papillomavirus infections in young women with or without Chlamydia trachomatis co-infection
- Keeping participants on board: increasing uptake by automated respondent reminders in an Internet-based chlamydia screening in the Netherlands
- Laboratory techniques to study Chlamydia trachomatis infections on the move.
- Lymphogranuloma venereum among men who have sex with men in the Netherlands: regional differences in testing rates lead to underestimation of the incidence, 2006-2012
- Lymphogranuloma venereum in Europe, 2003-2008.
- Lymphogranuloma venereum proctitis in men who have sex with men is associated with anal enema use and high-risk behavior
- Major improvements in cost effectiveness of screening women for Chlamydia trachomatis using pooled urine specimens and high performance testing
- Mathematical epidemiology of chlamydia trachomatis infections
- Moleculaire diagnostiek van Chlamydia trachomatis-infecties door middel van nucleinezuuramplificatie.
- Monitoring of Chlamydia trachomatis infections after antibiotic treatment using RNA detection by nucleic acid sequence based amplification.
- Monitoring the potential introduction of the Swedish Chlamydia trachomatis variant (swCT) in the Netherlands.
- Multilocus sequence typing of urogenital chlamydia trachomatis from patients with different degrees of clinical symptoms
- New lymphogranuloma venereum chlamydia trachomatis variant, Amsterdam
- New methods in diagnostic and epidemiological research of Chlamydia trachomatis infections: the tide is turning molecular.
- Normal IncA expression and fusogenicity of inclusions in Chlamydia trachomatis isolates with the incA I47T mutation
- Opportunistische screening op genitale infecties met Chlamydia trachomatis onder de seksueel actieve bevolking in Amsterdam II. Kosteneffectiviteitsanalyse van screening bij vrouwen.
- Opportunistische screening op genitale infecties met Chlamydia trachomatis onder de seksueel actieve bevolking in Amsterdam. III. Kosteneffectiviteitsanalyse van screening bij vrouwen uitgebreid met de rol van herinfectie en partnermeebehandeling
- Polymerase chain reaction: the new gold standard for detection of Chlamydia trachomatis?
- Predicting the population impact of chlamydia screening programmes: comparative mathematical modelling study
- Prediction of Chlamydia trachomatis infection to facilitate selective screening on population and individual level: a cross-sectional study of a population-based screening programme
- Prediction of costs, effectiveness, and disease control of a population-based program using home sampling for diagnosis of urogenital chlamydia trachomatis infections
- Prevalence of antibodies to Chlamydia trachomatis, Neisseria gonorrhoeae, and Mycoplasma hominis in infertile women
- Prevalence of Chlamydia trachomatis in women attending a family planning clinic in Papua New Guinea.
- Rationale, design, and results of the first screening round of a comprehensive, register-based, Chlamydia screening implementation programme in the Netherlands
- Reinfection by untreated partners of people treated for Chlamydia trachomatis and Neisseria gonorrhoeae: mathematical modelling study
- Retesting young STI clinic visitors with urogenital Chlamydia trachomatis infection in the Netherlands; response to a text message reminder and reinfection rates: a prospective study with historical controls
- Screening op asymptomatische infectie met Chlamydia trachomatis in de zwangerschap; gunstige kosteneffectiviteit bij een prevalentie van tenminste 3%
- Screening op infectie door Chlamydia trachomatis: welke doelgroep en tegen welke prijs? [Letter to the editor]
- Selectieve of algehele screening op infecties met Chlamydia trachomatis onder bezoekers van een Amsterdamse geslachtsziekten polikliniek? [Abstract].
- Serotyping and genotyping of genital Chlamydia trachomatis isolates reveal variants of serovars Ba, G, and J as confirmed by omp1 nucleotide sequence analysis.
- Slow epidemic of lymphogranuloma venereum L2b strain
- SOA-onderzoek Rotterdam: De epidemiologie van gonorroe, chlamydia, syfilis, hepatitis B en andere SOA onder bezoekers van een geslachtsziekten polikliniek te Rotterdam.
- Solid phase enzyme immunoassay for detection of non-complicated cervical infection with Chlamydia trachomatis.
- Specific polymorphisms in the vitamin D metabolism pathway are not associated with susceptibility to Chlamydia trachomatis infection in humans
- Standard symptom-and sexual history-based testing misses anorectal chlamydia trachomatis and neisseria gonorrhoeae infections in swingers and men who have sex with men
- Storage conditions of Chlamydia trachomatis antigens.
- The value of testing multiple anatomic sites for gonorrhoea and chlamydia in sexually transmitted infection centres in the Netherlands, 2006-2010
- TLR2, TLR4, and TLR9 genotypes and haplotypes in the susceptibility to and clinical course of Chlamydia trachomatis infections in Dutch women
- Transmission of Chlamydia trachomatis through sexual partnerships: a comparison between three individual-based models and empirical data
- Trend in Chlamydia trachomatis: gegevens uit soa-surveillance en laboratoriumsurveillance 2001-2005
- Typing of lymphogranuloma venereum chlamydia trachomatis strains
- Update on the European lymphogranuloma venereum epidemic among men who have sex with men
- Urogenital chlamydia trachomatis infections among ethnic groups in Paramaribo, Suriname; determinants and ethnic sexual mixing patterns
- Urogenital Chlamydia trachomatis strain types, defined by high-resolution multilocus sequence typing, in relation to ethnicity and urogenital symptoms among a young screening population in Amsterdam, The Netherlands
- Use of Chlamydia trachomatis high-resolution typing: an extended case study to distinguish recurrent or persistent infection from new infection
- Usefulness of primary care electronic networks to assess the incidence of chlamydia, diagnosed by general practitioners
- Using intervention mapping for the development of a targeted secure web-based outreach strategy named SafeFriend, for Chlamydia trachomatis testing in young people at risk
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